Combining community approaches and government policy to reduce HIV risk in the Dominican Republic

Kerrigan, Deanna; Moreno, Luís A.; Gomez, Bayardo; Jerez, Hector; Weiss, Ellen; Dam, Johannes van; Roca, Eva; Barrington, Clare

doi:10.31899/hiv2.1040

Cited by 8 publications

(5 citation statements)

References 27 publications

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“…As such, norms not only shape perceptions, but change attitudes that are conducive to condom use. This result provides further evidence of the importance of a community approach which promotes workplace solidarity and the empowerment of female sex workers for the prevention of HIV (Kerrigan et al . 2004).…”

Section: Discussionmentioning

confidence: 66%

Heterogeneous and vulnerable: the health risks facing transnational female sex workers

Choi

2010

Sociology Health & Illness

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Representations of transnational sex workers have been dominated by the trafficked victim discourse that often overlooks the heterogeneity of this population and variations in the health risks that different sub-groups face. This paper addresses this deficiency by examining differences in the socio-economic backgrounds, working conditions, HIV ⁄ AIDS knowledge, and vulnerability to health risks of female sex workers from Russia, Vietnam, Thailand, and Mainland China currently working in the Chinese city of Macau. It also examines the correlates of three health risks: client-perpetrated violence, non-condom use and condom failure. The results show major differences in the socio-economic profiles, working conditions and exposure to health risks of the four groups of workers studied. They also suggest that age, ethnicity, education, economic pressure, AIDS and STI knowledge, and workplace condom-use norm are significant correlates of the three health risks examined. The findings shed light on the importance of locating the social and cultural contexts that constrain the response of different groups of transnational sex workers to health risks, and the need to tailor intervention measures to meet the specific conditions of individual groups. They also point out the urgency of tackling the interpersonal and structural obstacles to safe sex practices among marginalised populations.

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Section: Discussionmentioning

confidence: 66%

Heterogeneous and vulnerable: the health risks facing transnational female sex workers

Choi

2010

Sociology Health & Illness

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“…It is hoped that by highlighting these important points in the sensitisation trainings with bar managers/owners, female sex workers will be able to redefine the social contract of sex work and end the routine practice of clients becoming violent towards women if they refuse to have sex with clients after drinking the alcohol purchased for them. Prior work has demonstrated the utility of sex workers and bar managers/owners signing a literal social contract agreeing to promote the health and wellbeing of sex workers within each establishment (Kerrigan et al 2004). The social contract in this context will articulate that managers and other sex workers should intervene and press charges against clients who become violent towards a woman, even if she consumed the client’s alcohol and refused to have sex with him.…”

Section: Discussionmentioning

confidence: 99%

‘You already drank my beer, I can decide anything’: using structuration theory to explore the dynamics of alcohol use, gender-based violence and HIV risk among female sex workers in Tanzania

Leddy

Kerrigan

Kennedy

et al. 2018

Culture, Health & Sexuality

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Female sex workers experience high rates of gender-based violence and HIV. Alcohol has been shown to facilitate women's risk of both gender-based violence and HIV; however, little research has explored how aspects of the sex work environment shape this risk. Drawing on structuration theory, this study explored how social conduct is patterned across time and space within the sex work environment to influence alcohol consumption, gender-based violence and HIV risk among female sex workers. Qualitative in-depth interviews were conducted with 24 female sex workers enrolled in an ongoing community randomised controlled trial of a combination HIV prevention intervention in Iringa, Tanzania. Data were analysed using both inductive and deductive approaches. Findings reveal how routine interactions between female sex workers and their clients occur at three moments of time and space during the sex exchange process to facilitate alcohol consumption and increase women's risk of gender-based violence and HIV. Findings also highlight how sex workers utilise collective agency to address aspects of the sex work environment that place them at risk of alcohol abuse, gender-based violence and HIV. Implications for future interventions to prevent gender-based violence and HIV among female sex workers in Tanzania and similar contexts are discussed.

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“…Their educational materials featuring a Dominican sex worker called Maritza have been particularly successful as a peer education tool in addressing strategies such as negotiating and eroticising condom use with clients, refusing drunk, high or violent clients and keeping the client interaction as safe as possible for the sex worker. 6,13 COIN was also influential in the formation of the Movimiento de Mujeres Unidas (MODEMU), a Dominican sex worker union run entirely by sex workers for sex workers, with whom we also worked to develop the current study protocol and instruments.…”

Section: Ngo Partners Working With Sex Workers In Santo Domingo and Cmentioning

confidence: 99%

“…2 In Mexico and the Dominican Republic, where the study reported here took place, unprotected sex between sex workers and their clients often translates into high HIV and STI rates. [3][4][5][6] The Dominican Republic has a high number of people in the sex trade per capita, with some 50,000 female sex workers in Santo Domingo alone. A 2005 Ministry of Health study reported that HIV prevalence among Santo Domingo sex workers was 3%, compared to 1.7% in the general adult population.…”

mentioning

confidence: 99%

“No Party Hat, No Party”: Successful Condom Use in Sex Work in Mexico and the Dominican Republic

García

Yam²,

Firestone

2006

Reproductive Health Matters

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Sex workers and their clients are particularly vulnerable to HIV/STI transmission. Most research on condom use has focused on barriers preventing use; less is known about attitudes, motivations and strategies employed by those who feel positively about condoms and who use them successfully. For this qualitative study, we conducted focus group discussions with sex workers (14), both female and transvestite, in Ciudad Juarez, Mexico, and female sex workers (17) and male clients (11) in Santo Domingo, Dominican Republic, who identified themselves as successful condom users in a condom use questionnaire. Discussions explored definitions of successful condom use, motivations and strategies for condom use and messages for future condom promotion. Sex workers defined successful condom use as being in agreement with their clients and partners about using condoms, protecting themselves from disease and unwanted pregnancy, and feeling good about using condoms. Condoms were seen to be hygienic, offer protection and provide a sense of security and peace of mind. Specific strategies included always having condoms on hand, stressing the positive aspects of condoms and eroticising condom use. Future educational messages should emphasise condom use to protect loved ones, increase security and pleasure during sex, and demonstrate respect for both sex workers, clients and partners.

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Combining community approaches and government policy to reduce HIV risk in the Dominican Republic

Cited by 8 publications

References 27 publications

Heterogeneous and vulnerable: the health risks facing transnational female sex workers

Heterogeneous and vulnerable: the health risks facing transnational female sex workers

‘You already drank my beer, I can decide anything’: using structuration theory to explore the dynamics of alcohol use, gender-based violence and HIV risk among female sex workers in Tanzania

“No Party Hat, No Party”: Successful Condom Use in Sex Work in Mexico and the Dominican Republic

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